Reimbursement Officer III in Corpus Christi, TX

Description

Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage.

Functional Title: Reimbursement Officer III 
Job Title: Reimbursement Officer III 
Agency: Health & Human Services Comm 
Department: Reimbursement 
Posting Number: 10075 
Closing Date: 11/08/2025 
Posting Audience: Internal and External 
Occupational Category: Healthcare Practitioners and Technical 
Salary Group: TEXAS-B-16 
Salary Range: $3,409.83 - $5,094.16 
Pay Frequency: Monthly
Shift: Day 
Additional Shift: Days (First) 
Telework: Not Eligible for Telework 
Travel: Up to 5% 
Regular/Temporary: Regular 
Full Time/Part Time: Full time 
FLSA Exempt/Non-Exempt: Nonexempt 
Facility Location: Corpus Christi State Supported Living Center 
Job Location City: CORPUS CHRISTI 
Job Location Address: 902 AIRPORT RD 
Other Locations:  
MOS Codes: No military equivalent 
 
 
 

Brief Job Description:

Come work in an environment where we truly value and respect those we serve and believe in the mission that all people can achieve a higher level of wellness and independence. 

The state supported living centers serve people with intellectual and developmental disabilities who are medically fragile or who have behavioral problems. The centers provide campus-based direct services and supports at 13 centers located throughout the state. Learn About Our State Supported Living Centers

If you are looking for a place to work where you can establish a career that is filled with purpose, this is the job for you!

The Reimbursement Officer III performs professional, technical, and administrative duties necessary to the operations of a large Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID). Reimbursement Officer III performs advanced medical billing claim submissions, maintenance of accounts receivable and collection of charges for services provided by the facility. Works under the supervision of the Facility Financial Officer with support services provided by Revenue Management (State Office), exercising a significant degree of initiative and independent judgement in the performance of duties.

Essential Job Functions:  

Attends work on a regular basis and may be required to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned.

Tasks include daily claim submissions, investigating and submitting appeals, posting payments, adjustments and recoupments, and working all aged accounts.

Coordinate and maintain open communication with the Infirmary/Nursing, Medical Records/Admissions and Finance/Accounting Departments in order to accurately submit claims, confirm authorization days and reconcile payments.

May direct, train and cross train less experienced staff within the department, as needed.

As needed, provides facility staff information pertaining to individual's financial status, 3rd party coverage of medical services obtained off-campus and benefits under Social Security, Supplemental Security Income, Veterans Administration, and etc. Completes intake of financial information at time of client's admissions and during follow-up reviews to access for possible source of reimbursement.

Establishes and maintains accounts receivables. Enters financial transactions into the automated data system. Answers inquiries on individual accounts as requested by payors.

Identifies, completes, and arranges application process for benefits from Social Security and Supplemental Security Income programs on behalf of individuals with potential eligibility.

Performs various activities necessary to collect Medicaid, Medicare Part B, and other 3rd party payors reimbursements.

Reconciles monthly cash receipts for both third party and non-third party collections for proper crediting of individual accounts.

Performs office functions including maintenance of files, distribution of daily mail, answering telephone, greeting visitors, word-processing, and photocopying documents.

Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency's obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location.

Knowledge Skills Abilities:

Considerable knowledge of health-related accounting and collection procedures.

Knowledge of rules and regulations governing reimbursement for agency services.

Proven ability to communicate verbally and in writing in a clear and concise manner, with the ability to direct and instruct.

Ability to work independently, to work cooperatively in a teamwork situation, and to work harmoniously in general with co-workers.

Proven ability to embrace changing conditions and situations in work responsibilities.

Willingness to accept additional responsibility as the need arises.

Reliable in attendance and punctuality.

Ability to work accurately with numbers.

Demonstrate initiative by identifying and solving problems with the ability to make independent and sound technical judgments.

Ability to organize workload and set priorities.

Detail oriented.

Registrations, Licensure Requirements or Certifications:   

None 

Initial Screening Criteria: 

Graduation from a standard high school or equivalent is required.

A minimum of two (2) Years experience in claims processing and health-related account and collection work.

Experience in use of Microsoft software applications including Word, Excel, and Outlook, preferred.

Additional Information:

Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aide, Medication Aide and Employee Misconduct and HHS List of Excluded Individuals/Entities (LEIE).

Males between the ages of 18 – 25 must be registered with the Selective Service.

All State Supported Living Center Employees are subject to Random Drug Testing.

Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours. Must be willing to work weekends and holidays.

All applicants must be at least 18 years of age to be considered for employment at a state-operated facility.

Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC.

Active Duty, Military, Reservists, Guardsmen, and Veterans:

Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor's Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions.

ADA Accommodations:

In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.

Pre-Employment Checks and Work Eligibility:

Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks.

HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form

Telework Disclaimer:

This position may be eligible for telework.  Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.